Case Study - Accelerating digital transformation for one of USA’s largest third party administrators

Accelerating digital transformation for one of USA’s largest third party administrators

One of USA’s largest third-party administrator specializing in health care administration services. Our customer had grown over the years, acquiring TPAs and adding them to the mix. The customer was on a strategic mission of modernizing their disparate legacy system, into a unified claims processing system. The customer was using over 7 legacy applications for group setup, plan design, enrollment, finance and billing, claim adjudication, data exchange, reporting and dashboard. Hexaware, as a trusted partner, embarked on an operational transformation journey of consolidating their complex legacy system into a new COTS claims processing system. Hexaware successfully transitioned the customer from legacy system to new core claims processing systems and helped in achieving significant cost reduction and efficiency improvement, across various functions thereby increasing auto adjudication by 130% and saving overall claims operational costs by 50%.

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